| NPI | 1225438104 |
|---|---|
| Doing Business As | COPPER QUEEN MEDICAL ASSOCIATES PALOMINAS |
| Entity Type | Organization |
| Authorized Contact | JAMES DICKSON CEO 520-432-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: AZ H0098) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |